实用医院临床杂志
實用醫院臨床雜誌
실용의원림상잡지
PRACTICAL JOURNAL OF CLINICAL MEDICINE
2014年
5期
92-94
,共3页
管英%印隆林%陈加源%吴筱芸%李迎春%赵黎明
管英%印隆林%陳加源%吳篠蕓%李迎春%趙黎明
관영%인륭림%진가원%오소예%리영춘%조려명
双源CT%彩色多普勒超声%颈动脉粥样硬化
雙源CT%綵色多普勒超聲%頸動脈粥樣硬化
쌍원CT%채색다보륵초성%경동맥죽양경화
Dual-source CT%Color Doppler flowing imaging ultrasound%Carotid artery atherosclerosis
目的:探讨并比较双源CT血管成像技术( dual-Source CT angiography ,DSCTA)与彩色多普勒超声( color doppler flow imaging,CDFI)在颈部动脉粥样硬化性疾病诊断中的价值。方法回顾性分析76例临床怀疑颈动脉粥样硬化患者的颈动脉DSCTA及CDFI影像学资料,比较两种影像学方法检出的颈动脉斑块部位、数目、性质及血管狭窄程度有无差异性。结果76例患者中,DSCTA发现40例有颈动脉斑块、CDFI发现60例有颈动脉斑块,CDFI发现斑块数目多于DSCTA,但仅对颈总动脉分叉处斑块的检出率差异有统计学意义(P<0.05)。 DSCTA检出钙化斑块数目多于CDFI,差异有统计学意义(P<0.05), CDFI检出混合斑块及软斑块数目多于DSCTA,差异有统计学意义(P<0.05)。 DSCTA检出颈动脉轻度狭窄例数多于CDFI,差异有统计学意义( P<0.05)。结论 DSCTA与CDFI在颈动脉粥样硬化性病变的诊断中各有优势及局限性,二者互相补充可以提高诊断的准确性。
目的:探討併比較雙源CT血管成像技術( dual-Source CT angiography ,DSCTA)與綵色多普勒超聲( color doppler flow imaging,CDFI)在頸部動脈粥樣硬化性疾病診斷中的價值。方法迴顧性分析76例臨床懷疑頸動脈粥樣硬化患者的頸動脈DSCTA及CDFI影像學資料,比較兩種影像學方法檢齣的頸動脈斑塊部位、數目、性質及血管狹窄程度有無差異性。結果76例患者中,DSCTA髮現40例有頸動脈斑塊、CDFI髮現60例有頸動脈斑塊,CDFI髮現斑塊數目多于DSCTA,但僅對頸總動脈分扠處斑塊的檢齣率差異有統計學意義(P<0.05)。 DSCTA檢齣鈣化斑塊數目多于CDFI,差異有統計學意義(P<0.05), CDFI檢齣混閤斑塊及軟斑塊數目多于DSCTA,差異有統計學意義(P<0.05)。 DSCTA檢齣頸動脈輕度狹窄例數多于CDFI,差異有統計學意義( P<0.05)。結論 DSCTA與CDFI在頸動脈粥樣硬化性病變的診斷中各有優勢及跼限性,二者互相補充可以提高診斷的準確性。
목적:탐토병비교쌍원CT혈관성상기술( dual-Source CT angiography ,DSCTA)여채색다보륵초성( color doppler flow imaging,CDFI)재경부동맥죽양경화성질병진단중적개치。방법회고성분석76례림상부의경동맥죽양경화환자적경동맥DSCTA급CDFI영상학자료,비교량충영상학방법검출적경동맥반괴부위、수목、성질급혈관협착정도유무차이성。결과76례환자중,DSCTA발현40례유경동맥반괴、CDFI발현60례유경동맥반괴,CDFI발현반괴수목다우DSCTA,단부대경총동맥분차처반괴적검출솔차이유통계학의의(P<0.05)。 DSCTA검출개화반괴수목다우CDFI,차이유통계학의의(P<0.05), CDFI검출혼합반괴급연반괴수목다우DSCTA,차이유통계학의의(P<0.05)。 DSCTA검출경동맥경도협착례수다우CDFI,차이유통계학의의( P<0.05)。결론 DSCTA여CDFI재경동맥죽양경화성병변적진단중각유우세급국한성,이자호상보충가이제고진단적준학성。
Objective To compare the diagnostic value of dual-source CT angiography ( DSCTA) with color Doppler flow ima-ging ultrasound ( CDFI) for carotid artery atherosclerosis disease .Methods DSCTA and CDFI imaging data of 76 cases suspected with carotid artery atherosclerosis disease were analyzed retrospectively .Location,amount and characteristics of atherosclerosis plaque and degree of vascular straitness of carotid artery that were detected by DSCTA or CDFI examination were compared .Results In all 76 ca-ses,atherosclerosis plaques were observed in 40 cases by DSCTA and in 60 cases by CDFI.Although amount of atherosclerosis plaques found by CDFI was more than that by DSCTA ,the difference was statistically significant only at bifurcation section of carotid common artery(P <0.05).Amount of calcific plaques discovered by DSCTA was more than that by CDFI (P<0.05).Amount of mixed plaques and soft plaques found by CDFI was more than that by DSCTA ( P<0.05 ) .Cases with slight straitness of carotid artery discovered by DSCTA were more than that by CDFI ( P<0.05 ) .Conclusion DSCTA and CDFI have respective advantages and shortcomings in the diagnosis of in carotid artery atherosclerosis disease .The two complement each other can improve the accuracy of diagnosis .